Organization
A PLACE FOR COMFORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SELMA GILCREASE (OWNER)
(404) 831-8502
Entity
Organization
Contact information
Practice address
1766 BIG VALLEY LN, STONE MOUNTAIN, GA 30083-5712
(678) 615-3841
Mailing address
PO BOX 82542, CONYERS, GA 30013-9437
(404) 831-8502
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
PCH001362
GA
323P00000X
Psychiatric Residential Treatment Facility
PCH001362
GA
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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